薬剤起因性汎血球減少症の改善に伴い急激に顕在化したMRSA化膿性筋炎 Methicillin-resistant Staphylococcus aureus-induced pyomyositis that emerged during recovery from drug-induced pancytopenia

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著者

    • 木村 文彦 KIMURA Fumihiko
    • 防衛医科大学校内科学講座 Division of Hematology, Department of Internal Medicine, National Defense Medical College
    • 小林 彩香 KOBAYASHI Ayako
    • 防衛医科大学校内科学講座 Division of Hematology, Department of Internal Medicine, National Defense Medical College
    • 鳥飼 宏基 TORIKAI Hiroki
    • 防衛医科大学校内科学講座 Division of Hematology, Department of Internal Medicine, National Defense Medical College
    • 池田 宇次 IKEDA Takashi
    • 防衛医科大学校内科学講座 Division of Hematology, Department of Internal Medicine, National Defense Medical College
    • 佐藤 謙 SATO Ken
    • 防衛医科大学校内科学講座 Division of Hematology, Department of Internal Medicine, National Defense Medical College
    • 伊藤 輝代 ITO Teruyo
    • 順天堂大学医学部細菌学教室 Department of Bacteriology, School of Medicine, Juntendo University
    • 齋藤 大蔵 SAITO Daizo
    • 防衛医科大学校防衛医学研究センター外傷研究部門 Division of Basic Traumatology, National Defense Medical College Research Institute, National Defense Medical College
    • 元吉 和夫 MOTOYOSHI Kazuo
    • 防衛医科大学校内科学講座 Division of Hematology, Department of Internal Medicine, National Defense Medical College

抄録

Pyomyositis is a purulent infection of skeletal muscle characterized by fever, localized muscle pain and stiffness, swelling and tenderness. Hematological disorder is one of the predisposing conditions for the development of pyomyositis. A 54-year-old man developed methicillin-resistant <i>Staphylococcus aureus</i> pyomyositis during drug-induced pancytopenia. Debridement of the infection foci combined with antimicrobial agents proved effective even in the advanced stage of the disease. In patients with hematological disorders, pyomyositis should be considered when evaluating local myalgia and high fever because this disease can be very difficult to identify and can become rapidly progressive under a myelosuppressive condition.

収録刊行物

  • 臨床血液 = The Japanese Journal of Clinical Hematology  

    臨床血液 = The Japanese Journal of Clinical Hematology 49(1), 55-58, 2008-01-30 

    The Japanese Society of Hematology

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各種コード

  • NII論文ID(NAID)
    10021256981
  • NII書誌ID(NCID)
    AN00252940
  • 本文言語コード
    JPN
  • 資料種別
    SHO
  • ISSN
    04851439
  • NDL 記事登録ID
    9371820
  • NDL 雑誌分類
    ZS21(科学技術--医学--内科学)
  • NDL 請求記号
    Z19-295
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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